ALISON PEDEN (NPI# 1760771588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760771588 |
| Entity Type | Individual |
| Full Name | ALISON PEDEN |
| Credential | NP |
| Practice Address |
800 Gi Maddox Pkwy Chatsworth GA 30705-4008 |
| Practice Telephone | 7066951992 |
| Practice Fax Number | 8663486516 |
| Mailing Telephone | 7066951992 |
| Mailing Fax Number | 8663486516 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN181612 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 GI MADDOX PKWY |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162110 | Russell Blaine Minor | Internal Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2006-05-18 |
| 1881100287 | Carley Mccall Smith | Physician Assistant | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2017-12-20 |
| 1679007439 | Holly Lynch | Family Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2017-04-18 |
| 1710427760 | Rachel Marie Goode | Nurse Practitioner | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2017-02-24 |
| 1851834998 | Pamela Evette Hensley | Nurse Practitioner | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2016-11-21 |
| 1497014633 | Alexandra Feliciano Aponte | Family Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2012-05-09 |
| 1386819407 | Deidre Pierce | Internal Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2008-04-29 |
| 1629183579 | Nancy Drown Giammarella | Nurse Practitioner | 800 Gi Maddox Pkwy, Chatsworth, GA 30705 | 2006-08-20 |
| 1194744524 | Tommy D Bledsoe | Internal Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| Find all providers in zip 30705 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264638 | Laura Janeth Villarreal | Nurse Practitioner | 19947 Vintage St, Chatsworth, CA 91311-3555 | 2018-08-10 |
| 1538559315 | Mitzi Brown Reed | Nurse Practitioner | 459 Milas Winkler Rd, Chatsworth, GA 30705-7183 | 2015-01-30 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1255754461 | Matthew Jonathan Adams | Nurse Practitioner | 2976 Highway 76 Ste B&c, Chatsworth, GA 30705-6981 | 2014-01-23 |
| 1073858387 | Hma Health Systems | Nurse Practitioner | 216 Middleton Rd, Chatsworth, GA 30705-6737 | 2012-11-28 |
| 1417204132 | Tara Amos Sane | Nurse Practitioner | 500 Green Rd, Chatsworth, GA 30705-2745 | 2012-08-13 |
| 1013039403 | Gurdeep K Sethi | Nurse Practitioner | 22550 N Summit Ridge Cir, Chatsworth, CA 91311-2672 | 2007-04-04 |
| 1497798532 | Kelly Ray Elliott | Nurse Practitioner | 2976 Highway 76, Ste B&c, Chatsworth, GA 30705-6981 | 2006-06-14 |
| 1619962206 | Tracy Hooper | Nurse Practitioner | 824 Gi Maddox Parkway, Chatsworth, GA 30705-2147 | 2005-09-20 |
| 1144834789 | Laura Huber Nix | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2020-09-01 |
| Find all providers in CHATSWORTH | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
Please comment or provide details below to improve the information on ALISON PEDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.